| NPI | 1023492972 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0129X Surgery, Vascular Surgery (Licence: NJ 25MA10569400) |
| Additional Taxonomies | 2086S0129X Surgery, Vascular Surgery (Licence: NJ 390200000) |
| Enumeration Date | 2015-07-09 |
| Last Update Date | 2021-07-23 |